Whalio Doctors

NPI 1093258352

Charlotte Liesman

Practitioner Behavior Analyst Saint Robert, MO

Practice location

Address
496 Old Route 66, Saint Robert, MO 65584-3728
Phone
(573) 246-6164
Fax
(818) 758-8015
Mailing address
21600 Oxnard St Suite 1800, Woodland Hills, CA 91367-4976

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-16-23766 (MO)

Registry record

NPI
1093258352
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Nov 2016
Record last updated
18 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.